We offer nine standard copay options - more than any other carrier. All plans feature access to over 1,500 participating pharmacies in Tennessee and a nationwide network of more than 60,000 pharmacies and convenient home delivery services.

Plan Designs:

• Multi-Tier Copay Plans - available in one, two and three-tier plan options. The highest copay is non-preferred brand drugs, middle copay is for Preferred Drug List drugs, while the lowest copay is for generic drugs.

Standard plans include:

• 50% (with $4,000 out-of-pocket maximum)
• $10/$35
• $10/50% (with $4,000 out of pocket maximum)
• $10/$35/$50 (after $200 brand only deductible)
• $10/$35/$50
• $8/$35/$70
• $8/$40/$60
• $10/$20/$40
• Coinsurance Plans - add pharmacy to a PPO plan by making prescriptions subject to the same deductibles and coinsurance as other covered services.

Custom Plans:

Large groups (151+) have a choice of pharmacy networks, copay amounts, out-of-pockets, quantity limits, lifestyle drugs, and exclusions. Plus, we pass 100% of the rebate dollars received on to self-funded large groups.

Formulary Options:

• Preferred Drug List (Standard Formulary)
  For groups who want to provide members with more prescription drug choices, the Standard Formulary includes generic, and preferred and non-preferred brand-name prescription drugs in all drug classes. Members choose the brand level that meets their needs – and their wallets.
• Limited Formulary
  The Limited Formulary provides your members with proven treatment choices at significant cost savings for them -- and you. It combines a customized, generic-based drug formulary with alternative therapies and expanded tools, such as Step Therapy, to control utilization and costs.

Preferred Pharmacy Pricing:

And finally, for groups without a pharmacy plan we offer a Preferred Pharmacy Pricing Program at no additional cost. Members can receive discounted rates at network pharmacies with a special code included on their membership ID cards.